NPIMap

Organization Active NPI

NSH Summit LLC

  • Skilled Nursing Facility
  • Oconomowoc, WI
National Provider Identifier
1033637889
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NSH SUMMIT LLC
Practice address
2195 N Summit Village Way
Oconomowoc, WI 53066-8675
Phone
(262) 567-4662
NPI assigned
Aug 31, 2017
Last updated
Aug 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff Hoehn
Title
Managing Member
Phone
(414) 962-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2195 N Summit Village Way
Oconomowoc, WI 53066-8675

Mailing address

5150 N Port Washington Rd
Milwaukee, WI 53217-5474
Phone (414) 962-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026001577 WI Part A Provider - Skilled Nursing Facility 6507132198 Practice locations: Oconomowoc, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033637889. Details of each certification follow.

Skilled nursing facility certification: CCN 525702

Legal name
NSH SUMMIT LLC
Doing business as
LAKE COUNTRY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 23, 2009
Last certification
Jun 20, 2024
Beds
100
Ownership / control type
Corporation
Multi-facility organization
NORTHSHORE HEALTH CARE
Organization structure
LLCProprietary
Incorporated
Jun 29, 2017 in WI
Enrollment address
2195 N Summit Village Way
Oconomowoc, WI 53066-8675
Nursing home name
LAKE COUNTRY HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lake Country Health ServicesCCN 525702 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 23, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10085.9 residents per day on average
Chain
North Shore Healthcare59 facilities in the chain
Penalties (3 years)
3Fines totaling $120,868

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1103979Lake Country Health Services2195 N Summit Village Way, Summit, WI 53066Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Purtell Individual Operational/Managerial Control Jun 1, 2018
Adp of the SNF Jun 1, 2018
Cliftonlarsonallen LLP Organization, Minneapolis, MN Consulting firm Operational/Managerial Control May 22, 2018
Adp of the SNF Apr 15, 2025
David Mills Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2017 20%
Cara Hamm Individual Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Lauren Greer Individual Operational/Managerial Control Nov 29, 2023
Adp of the SNF Nov 29, 2023
Jeffrey C Hoehn Individual 5% Or Greater Indirect Ownership InterestManaging Member Jun 29, 2017 40%
Corporate DirectorManaging Member Jun 29, 2017 40%
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017
North Shore Healthcare LLC Organization, Milwaukee, WI LLC, Chain home office Operational/Managerial Control Oct 1, 2017 100%
Adp of the SNF Apr 15, 2025
Troy T Baumann Individual 5% Or Greater Indirect Ownership InterestManager Jun 29, 2017 40%
Corporate DirectorManager Jun 29, 2017 40%
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017
Christina Belongia Individual Operational/Managerial Control Nov 1, 2019
Adp of the SNF Nov 1, 2019
Wipfli LLP Organization, Milwaukee, WI Consulting firm Operational/Managerial Control Feb 1, 2025
Adp of the SNF Apr 15, 2025
Keshni Ramnanan Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
NSH Rehab LLC Organization, Milwaukee, WI LLC Operational/Managerial Control Mar 1, 2025
Adp of the SNF Jun 13, 2025
Continuum Therapy Partners LLC Organization, Charlotte, NC LLC, Management services company Operational/Managerial Control Mar 1, 2025
Adp of the SNF Apr 15, 2025
Colleen Patzer Individual Operational/Managerial Control Feb 14, 2023
Adp of the SNF Feb 14, 2023
NSHW Wisconsin LLC Organization, Milwaukee, WI LLC Adp of the SNF May 12, 2025
Canyon Woh, LLC Organization, Skokie, IL LLC Adp of the SNF Oct 21, 2022
Cibc Bank USA Organization, Chicago, IL Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Dec 3, 2025 100%
Operational/Managerial Control Dec 3, 2025
NSHF Operations LLC Organization, Milwaukee, WI Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 24, 2017 100%
Darren Gee Individual Operational/Managerial Control Nov 30, 2021
Adp of the SNF Nov 30, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 133

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 133

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1033637889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-962-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 N SUMMIT VILLAGE WAY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668675",
            "telephone_number": "262-567-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH SUMMIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "414-962-5250"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

Verify at the official NPI Registry.